Details

Participants:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Name:

Company:

Audit

AUDIT # 3 - Satisfactory(SAT), Unsatisfactory(U/N) and Not Applicable (N/A)
Confined Space:

a) Permit valid.

b) Permit requirements complied with - access, gas monitoring, isolation, housekeeping, ventilation.

c) Safe work procedures, JSEAs, MSDSs developed, attached to permit and complied with.

d) Scaffolding - tagged, checked, not overloaded.

e) Communication in place, suitable and understood by employees.

f) Access - internal and external.

g) Checklist - completed and in order.

h) Emergency evacuation in place.

i) Standby person identified, in position, understands his/her responsibilites.

j) Responsible person identified and understands his/her responsibilites.

k) Correct signage in place "No Unauthorised Access", "Confined Space No Unauthorised Entry".

l) Emergency lighting installed and functional.

m) PPE requirements complied with.

Key Findings

Key Findings:

Hot Work & Sign Off

Welding/Cutting/Grinding/Hot Work

a) Hot work permit in place / displayed with JSEA.

b) Fire extinguishers - prominent position.

c) Sparks encapsulated from fellow workers.

d) Adequate PPE for task.

e) Cylinders secured vertically in cradles with flashback arrestors on both ends, gauges operative.

f) Earth close proximity to work piece.

g) Welding screens, fire blankets.

Sign Off:
Add signature
Add signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.